MEDICARE: MR. BARNEY AARON GREENBERG DPM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213ES0131X	Foot Surgery Podiatrist	PO 1175	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1700819620
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. BARNEY AARON GREENBERG DPM

Provider Business Mailing Address
First Line	:	2651 HOLLYWOOD BLVD
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33020-4840
Country	:	US
Telephone Number	:	954-923-1800
Fax Number	:	954-921-0599

Provider Business Practice Location Address
First Line	:	2651 HOLLYWOOD BLVD
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33020-4840
Country	:	US
Telephone Number	:	954-923-1800
Fax Number	:	954-921-0599

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/07/2006
Last Update Date	:	04/22/2008

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